NPI 1003574740

Northwestern Medical Center, INC

Organisation Pediatrics Physician Saint Albans, VT

Practice location

Address: 133 Fairfield St, Saint Albans, VT 05478-1726
Phone: (802) 524-1040
Fax: (802) 524-1032

Authorised official

Name: Dennis J Boucher
Title: Director
Phone: (802) 524-1276

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Vermont →

Registry record

NPI: 1003574740
Entity type: Organization
NPI issued: 30 Nov 2021
Record last updated: 8 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.